How to diagnose sexual dysfunction azoospermia Six methods can diagnose sexual dysfunction azoospermia

Now not only women will suffer from infertility, but also men will often suffer from infertility, especially azoospermia in male sexual dysfunction. Azoospermia is also a major obstacle for men in sexual dysfunction. Let's see how to diagnose this azoospermia.

The routine steps of azoospermia examination are semen routine examination, medical history inquiry and etiological classification diagnosis.

Routine semen examination: there is no sperm in three consecutive routine semen examination.

2、 Medical history inquiry: testicular toxicant contact, application history, testis, epididymis, vas deferens injury, mumps, tuberculosis history, etc.

3、 Etiology and classification diagnosis:

1. Endocrine hormone determination: FSH, LH, PRL, T, E2. Determine whether the testicle has pathological changes and lesions.

2. seminal fructose and α- The determination of glucosidase is helpful for the diagnosis of obstructive azoospermia.

3. Vasectomy is thickened or beaded, epididymal nodules, or both are absent, indicating obstructive azoospermia.

4. The testicular volume is less than 11ml, or cryptorchidism, absence of testis, etc., indicating poor testicular function.

4、 Testicular biopsy: under normal conditions, azoospermia FSH is mostly caused by obstruction, and biopsy is only considered when surgery is planned to understand the testicular spermatogenesis.

5、 Imaging examination. Normal vas deferens angiography should show that the shape and position of the vas deferens, seminal vesicles and ejaculatory ducts are normal and full of contrast agent.

6、 Vasography and seminal vesicle angiography can determine whether there is obstruction or not.

7、 Chromosome examination. Patients with azoospermia with small testicles and sexual dysplasia should undergo chromosome examination.